This is a superbly written, factually balanced, complete, up-to-date presentation on a complex ubiquitous clinical problem that can be maddeningly frustrating to a conscientious physician. It clearly stands apart from all other published efforts to date; it can be wholeheartedly recommended for acquisition without reservation. Each chapter format is pleasingly effective in reducing reading effort and promoting thought organization. This is equaled, if not superceded by, a generous, but not superfluous, number of illustrations of marvelous clarity related to the text material. The essence of authoritative and extensive clinical experience that transforms "shot-gun" generalities into the real "art" of medical (surgical) management, radiates from each chapter. The sequence of subject presentation, chapter by chapter, literally guarantees progressive comprehension. When appropriate to the importance or complexity of a facet of information, helpful reemphasis is noted in subsequent chapters. All chapters are germaine and skillfully done, but the chapters relating to analgesic